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MRS. JACQUELINE DIANE MATIAS
NPI 1174921951
Specialist in Melville, NY

Active since December 10, 2014
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747(631) 385-7780 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacqueline Diane Matias NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE DIANE MATIAS (NPI 1174921951) is an individual specialist in Melville, New York and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1174921951
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. JACQUELINE DIANE MATIAS
Location Address538 BROADHOLLOW RD STE 202Melville, NY 11747-3668
Mailing Address15 Soundview DrShoreham, NY 11786-1101 · (631) 849-1664
Phone(631) 385-7780
Sole ProprietorNo
Enumeration DateDecember 10, 2014
✔ NPI 1174921951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
538 BROADHOLLOW RD STE 202, Melville, NY 11747
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARRET HARRISON
Behavior Technician
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MRS. LISA M MASCI MSED
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
LYNETTE BLADES
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
NATALIE L LINDO
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
EMMA CASTRO
Case Manager/Care Coordinator
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
JENETTA BUTLER
Behavior Technician
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 358-7780
MEAGAN LYONS
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MR. CHRISTIAN BUSTAMANTE
Specialist
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747
Suffolk County (631) 385-7780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Matias's NPI number?

The NPI number for Jacqueline Matias is 1174921951. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Jacqueline Matias located?

Jacqueline Matias practices at 538 Broadhollow Rd Ste 202, Melville, NY 11747. The listed phone number is (631) 385-7780.

What is Jacqueline Matias's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Matias was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.